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Femoral pain after hip prosthesis

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https://www.readbyqxmd.com/read/27866217/osteonecrosis-of-the-jaw-onj-and-atypical-femoral-fracture-aff-in-an-osteoporotic-patient-chronically-treated-with-bisphosphonates
#1
A Sánchez, R Blanco
The aim of the study is to report the rare association of two complications of long-term treatment of osteoporosis with bisphosphonates in the same Caucasian elderly patient. A female patient of Italian descent, age 87 years, consulted in February 2013. She had a history of osteoporosis and had taken alendronate weekly for 7 years (1999-2006). Due to low back pain, an orthopedist had indicated i.v. zoledronic acid, 5 mg/year for 3 years (2006-2008). She received occasional supplements of ergocalciferol...
November 20, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27787383/short-stem-prostheses-in-primary-total-hip-arthroplasty-a-meta-analysis-of-randomized-controlled-trials
#2
Shao-Chuan Huo, Fan Wang, Lu-Jue Dong, Wei Wei, Jing-Qi Zeng, Hong-Xing Huang, Qing-Min Han, Rui-Qi Duan
BACKGROUND: Short-stem (SS) prostheses require less resection of the femoral neck, produce a more physiological load pattern in the proximal femur, reduce stress shielding, and aid bone conservation and are, therefore, beneficial for young patients. Conventional cementless implants in total hip arthroplasty (THA) have shown excellent clinical results; however, it is unclear whether SS prostheses can obtain the same clinical and radiological outcomes. We conducted a meta-analysis of randomized controlled trials (RCTs) to evaluate whether SS prostheses are superior to conventional implants after primary THA...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27697405/total-hip-replacement-in-young-non-ambulatory-cerebral-palsy-patients
#3
C Morin, C Ursu, C Delecourt
INTRODUCTION: The everyday life of a non-ambulatory adolescent or young adult with cerebral palsy can be severely impaired by a painful or stiff hip. The usual surgical solutions such as proximal femoral resection (PFR) are not entirely satisfactory for pain relief, and are mutilating. HYPOTHESIS: A retrospective study assessed the impact of total hip replacement (THR) on such impairment, on the hypothesis that it is more effective than PFR in relieving pain, without aggravating disability...
September 30, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27546866/-reverse-hip-spacer-for-massive-distal-femur-defects-in-peri-prosthetic-knee-infections
#4
X Flores, M Vicente, S Haddad, C Amat, L Carrera, P S Corona
BACKGROUND: Bone loss in the distal femur is a common problem in knee revision surgeries. The problem is exacerbated in the context of an active infection. In extreme cases this bone loss could compromise the feasibility of a two-stage exchange protocol using dynamic spacers due to the inherent instability of this type of spacers. Use of a hip prefabricated spacer in a "reverse" way forming a ball-and- socket joint is a therapeutic option in cases of massive bone defect and infection...
August 18, 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/27443223/fracture-of-a-spline-of-the-femoral-stem-in-an-ingrown-modular-hip-implant
#5
David Clinton McNabb, Jason M Jennings, Douglas A Dennis
INTRODUCTION: Physiologic strain patterns of the femur are altered by the bending stiffness of the implant as well as the loading pattern of the implant itself. The Savish Range of Motion (S-ROM) femoral stem has been designed with flutes (to decrease distal material) and with a coronal slot (to decrease stiffness). MATERIALS: The purpose of this case report is to briefly discuss design characteristics of femoral stems and their relationship to thigh pain as well as to describe the only report in the literature of a fracture of the anterior spline of a S-ROM prosthesis at the coronal slot...
2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27422624/total-hip-replacement-in-adult-patients-with-severe-kashin-beck-disease-of-the-hip
#6
Xin Tang, Jing Zhu, Zongke Zhou, Bin Shen, Pengde Kang, Fuxing Pei, Jian Li
BACKGROUND: The treatment of elderly patients with Kashin-Beck disease (KBD) remains clinically challenging, and clinical data are very lacking. The aim of this study was to retrospectively evaluate pain and functional outcomes following total hip replacement in adult patients with severe KBD of the hip. METHODS: Twenty-two patients (32 hips) with KBD underwent primary hip replacement and were followed for at least 2 years. Radiographic and Clinical assessments were evaluated for each patient at 2 and 4 weeks and at 3, 6 and 12 months after the operation and annually thereafter...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27384735/musculoskeletal-hydatid-cysts-resembling-tumors-a-report-of-five-cases
#7
Güray Toğral, Şefik M Arıkan, Timur Ekiz, Ahmet F Kekeç, Mehmet F Ekşioğlu
Although challenges in treatment of musculoskeletal hydatid cysts (HC) lesions have been documented, data regarding the musculoskeletal HC lesions resembling tumor is scarce. This paper presented 5 patients (3 males, 2 females) with a mean age of 41.6 years with tumor-like lesions of HC. Three of them had left ilium and acetabulum involvement, one involved left femur, and one involved left thigh muscle compartments. Pain was the main symptom and was seen in all patients. Clinical examination, radiologic evaluation, and histologic analysis were performed for diagnosis...
May 2016: Orthopaedic Surgery
https://www.readbyqxmd.com/read/27303232/total-hip-arthroplasty-dislocations-are-more-complex-than-they-appear-a-case-report-of-intraprosthetic-dislocation-of-an-anatomic-dual-mobility-implant-after-closed-reduction
#8
Bradford S Waddell, Ivan De Martino, Thomas Sculco, Peter Sculco
BACKGROUND: Total hip arthroplasty is a successful operation for the treatment of hip pain. One of the common complications of hip arthroplasty is dislocation. While reduction of standard prosthetic dislocations is highly successful, new prostheses add the potential for new complications. CASE REPORT: We present the case of a patient who experienced intraprosthetic dislocation of an anatomic dual-mobility total hip prosthesis after a closed hip reduction and include the prereduction and postreduction radiographic findings...
2016: Ochsner Journal
https://www.readbyqxmd.com/read/27131803/femoral-revision-surgery-using-a-fully-hydroxyapatite-coated-stem-a-cohort-study-of-twenty-two-to-twenty-seven%C3%A2-years
#9
Olav Reikerås
PURPOSE: Femoral component revision with either cemented or proximally coated stems has been disappointing, but revision with extensively coated stems has been promising. Our purpose was to evaluate the long-term outcome using an extensively hydroxyapatite (HA)-coated stem in femoral revisions surgery. METHODS: During 1988-1993 we performed 66 femoral revisions in 65 patients (49 women), mean age 58 (range, 28-86) years. We used a grit-blasted straight stem made of TiAl6V4 designed for press-fit insertion (Landos Corail; Landanger, Chaumont, France)...
April 30, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27062843/-application-and-effectiveness-of-biological-type-acetabular-cup-in-adult-crowe-type-iv-developmental-dysplasia-of-the-hip
#10
Ning Xu, Junying Sun, Xijiang Zhao, Tao Wang
OBJECTIVE: To investigate the application and effectiveness of the biological type acetabular cup(diameter < 44 mm) in adult Crowe type IV developmental dysplasia of the hip (DDH). METHODS: Between April 2001 andAugust 2013, biological type acetabular cup was used in total hip arthroplasty for the treatment of Crowe type IV DDH in16 cases (20 hips). There were 3 males and 13 females, aged 31-69 years (mean, 49 years). Unilateral hip was involved in 12cases, and bilateral hips in 4 cases...
January 2016: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/26911973/hard-on-hard-bearings-are-associated-with-increased-noise-generation-in-young-patients-undergoing-hip-arthroplasty
#11
Denis Nam, Toby Barrack, Staci R Johnson, Ryan M Nunley, Robert L Barrack
BACKGROUND: Patient-perceived noise from prostheses after total hip arthroplasty (THA) does occur, yet questions remain including the overall frequency of this finding, demographic and prosthesis-related factors, and the association of noise generation with patient-reported outcomes. QUESTIONS/PURPOSES: The purposes of this study were (1) to determine the frequency with which patients report noise coming from the hip after THA; (2) to identify patient and prosthesis-related factors associated with noise generation; and (3) to ascertain if noise generation is associated with pain or functional impairment after THA...
October 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/26708946/stable-fixation-of-a-madreporic-lord-femoral-prosthesis-at-31-year-follow-up-in-a-total-hip-arthroplasty-a-case-report
#12
Fernando M Judas, Joana Fonseca Ferreira, Rui Freitas Dias, Francisco M Lucas
INTRODUCTION: Lord total hip prosthesis was discontinued due to high revision rates of the smooth threaded acetabular component and negative effects of stress shielding in the proximal femur. PRESENTATION OF CASE: We report the outcome of a Lord cementless femoral stem, in a 55-year-old woman. In 1984, the patient underwent a Lord total hip arthroplasty for the treatment of advanced dysplastic osteoarthritis of the left hip. After 12 years, the cementless acetabular component of the prosthesis had been revised due to aseptic loosening...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26640625/calcar-preservation-arthroplasty-for-unstable-intertrochanteric-femoral-fractures-in-elderly
#13
Mustafa Celiktas, Emre Togrul, Ozkan Kose
BACKGROUND: The treatment of unstable intertrochanteric fractures in elderly is still controversial. The purpose of this study is to present treatment strategies for unstable intertrochanteric fractures with hemiarthroplasty using standard uncemented collared femoral stems and at the same time preserving the fractured calcar fragment. METHODS: Fifty-four patients aged 75 years or older with unstable intertrochanteric fractures were included in this prospective cohort study...
December 2015: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/26466469/-application-of-digital-planning-with-bone-parameters-in-determining-optimal-size-of-prosthesis
#14
Jinpeng He, Yun Hao, Xiaolin Wang, Jingfan Shao, Xiaojin Yang, Fengjing Guo, Jiexiong Feng
OBJECTIVE: To investigate the accuracy and value of digital planning with bone parameters in determining the appropriate prosthesis for total hip arthroplasty (THA). METHODS: The preoperative radiographs was taken in 13 cases scheduled for THA between September 2012 and June 2013; the bone parameters were measured by digital template, and the prosthesis was selected and preoperative plan was made. There were 4 males and 9 females with an average age of 54.08 years (range, 41-79 years), including 8 left hips and 5 right hips...
June 2015: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/26266069/fracture-of-the-modular-neck-in-total-hip-arthroplasty
#15
A Hernandez, A Gargallo-Margarit, V Barro, I Gallardo-Calero, A Sallent
Modularity of the components in total hip arthroplasty has had an increase in popularity in the last decades. We present the case of a 53-year-old man with a history of avascular necrosis of the femoral head due to a hypophyseal adenoma. A total hip modular arthroplasty was implanted. Three and a half years after the surgery the patient attended the emergency room due to acute left hip pain with no prior traumatism. Radiological examination confirmed a fracture of the modular neck. A revision surgery was performed finding an important pseudotumoral well-organized periprosthetic tissue reaction...
2015: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/26228219/early-outcomes-of-primary-total-hip-arthroplasty-for-osteonecrosis-of-the-femoral-head-in-patients-with-human-immunodeficiency-virus-in-china
#16
Chang-Song Zhao, Xin Li, Qiang Zhang, Sheng Sun, Ru-Gang Zhao, Juan Cai
BACKGROUND: Studies have reported that patients with human immunodeficiency virus (HIV) have a high incidence of osteonecrosis of the femoral head (ONFH). Total hip arthroplasty (THA) is an effective management of ONFH. However, little data exist regarding the use of THA for the HIV patients with ONFH in China. This study reviewed the outcomes of HIV-positive patients who underwent THA for ONFH, compared with HIV-negative individuals. METHODS: The patients who underwent THA for ONFH from September 2012 to September 2014 in Beijing Ditan Hospital, Capital Medical University were retrospectively studied...
August 5, 2015: Chinese Medical Journal
https://www.readbyqxmd.com/read/26187599/outcome-of-a-modular-head-neck-adapter-system-in-revision-hip-arthroplasty
#17
Maik Hoberg, Christian Konrads, Simon Huber, Stephan Reppenhagen, Matthias Walcher, André Steinert, Thomas Barthel, Maximilian Rudert
PURPOSE: Revision hip arthroplasty using a modular head-neck adapter gives the possibility of keeping a well-fixed femoral component while revising the acetabular prosthesis or femoral head and adapt leg length and femoral offset to the individual anatomy intraoperatively. The success of this kind of surgery is still unclear due to the lack of medium- to long-term follow-up. Therefore, we analyzed the clinical and radiological outcome of the modular Merete BioBall© adapter system in revision hip surgery...
October 2015: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/26115579/surgical-treatment-of-periprosthetic-femoral-fractures-following-hip-arthroplasty-our-institutional-experience
#18
Plamen Kinov, Gershon Volpin, Roger Sevi, Panayot P Tanchev, Boris Antonov, Geries Hakim
PURPOSE: Periprosthetic fractures are one of the most serious complications after hip replacement. The aim of this retrospective study was to evaluate the clinical outcome of surgical treatment of periprosthetic femoral fractures following total hip arthroplasty using treatment algorithm of the Vancouver classification. MATERIALS AND METHODS: Fifty six periprosthetic femoral fractures operated on during the period December 2004-September 2013 were followed-up retrospectively...
October 2015: Injury
https://www.readbyqxmd.com/read/25936185/-application-of-modular-cementless-femoral-stems-in-complex-revision-hip-arthroplasty
#19
Zhen-Dong Zhang, Qi Zhuo, Qing-Meng Zhang, Jun-Lei Song, Yang Fan, Ji-Ying Chen
OBJECTIVE: To investigate and clarify the key surgical techniques and evaluate clinical effectiveness of modular cementless femoral stems(LINK MP modular stem) in complex revision hip arthroplasty. METHODS: From January 2002 to December 2013, 470 patients in Chinese PLA General Hospital received revision hip arthroplasties using MP stems. Among them, 246 patients were followed for an average of 5.7 years (ranged, 0.5 to 11 years). There were 148 males and 98 females, with an average age of 62...
March 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/25708034/cementless-revision-for-infected-hip-arthroplasty-an-8-6-years-follow-up
#20
Peng Li, Ming Hou, Zhi-Qi Zhu, Zhan-Jun Shi
OBJECTIVE: To investigate cementless revision for postoperative infection after total hip arthroplasty (THA). METHODS: From November 1997 to December 2009, 10 patients (10 hips; four males, six females) of mean age 58 years (36-73 years) with infection after THA were treated. Six of the 10 hips underwent revision total hip arthroplasty, two only received new acetabular components and two underwent stem revision. One-stage revision was performed in six cases and two-stage revision in four...
February 2015: Orthopaedic Surgery
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